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New Patient Forms

Welcome to Flatirons Family Chiropractic! We offer our new patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office. Please remember to print a photo I.D. with you to the first visit.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) at (303)554-5834 or bring it with you to your appointment.

For All New Practice Members
(please print and bring with you)

Adult New Patient Form
Activity of Daily Living
Subjective Pain Assessment
Informed Consent
Health Information Authorization Form
Office & Financial Policies Form
Office & Financial Policies (For your review only)
HIPAA Notice (For your review only)

Additional Office Forms

Automobile Accident/Personal Injury Questionnaire
Pregnancy Questionnaire
Release of Records TO our Office
Release of Records FROM our Office
Worker's Injury Compensation Questionnaire

Download the Free AdobeReader®